Park Performance Chiropractic, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5635 Issued in MN

Legal business name

PARK PERFORMANCE CHIROPRACTIC, PLC

Practice address

716 1St St E
Park Rapids, MN 56470-1707

Phone

(182) 366-2174

Fax

(218) 366-2175

NPI assigned

Sep 10, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeremy John Nelson, D.C., CCSPNPI 1013285626

Title

Owner

Phone

(763) 670-2990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy John Nelson, D.C.

  • Chiropractor
  • Park Rapids, MN
  • NPI 1013285626
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1417358490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 1ST ST E",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701707",
            "telephone_number": "182-366-2174",
            "fax_number": "218-366-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 1ST ST E",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701707",
            "telephone_number": "182-366-2174",
            "fax_number": "218-366-2175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19037 US Hwy 71",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "56470",
            "country_code": "US",
            "telephone_number": "218-366-2174",
            "fax_number": "218-366-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARK PERFORMANCE CHIROPRACTIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-670-2990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., CCSP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terence Ohlgren
• Sara Lynn Olson, M.P.T.
• Curtis N Onstad, O.T.
• Rachel Roberts Oppitz, N.D.
• Dawn Renee Pappas, LICSW
• Park Rapids Area Schools
• Park Rapids Chiropractic, LLC
• Park Rapids Family Dental PLLC
• Park Rapids Physical Therapy and Rehabilitation Center Inc
• Park Rapids Walker Eye Clinic OD PA

• Chiropractor in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.